Endocrine Abstracts

Background: Diabetes mellitus (DM), which is on the increase in developing country like Nigeria, increases the risk of tuberculosis (TB). This study was carried out to detect TB in DM patient attending medical outpatient unit in State Specialist Hospital, Akure South West, Nigeria.Method: This was a cross-sectional study in which six hundred and forty eight DM patients attending the outpatient clinic were consecutively recruited after an informed consent...

Introduction: There is a need to understand testicular development in adolescents with Duchenne Muscular Dystrophy (DMD).Objective: To evaluate testicular development and function in DMD over 12 months.Methods: All data are presented as median(range). 23 boys aged 12.4 years (10.0, 16.8) with a bone age delay of 0.9 years (−2.4, 7.1) had physical and biochemical assessment of puberty at Month 0(M0) and Month 12(M12) and divid...

Background: Circulating levels of total oestradiol (E2) decrease with age in adult males; the effect of altered E2 circadian rhythm is uncertain. We hypothesised that age-related changes in the circadian rhythm contribute to decreased BMD in older males and investigated this.Methods: Nineteen subjects were studied: six young-healthy (YH) males (mean age (years) 27.3±4.6) with normal BMD, eight older-healthy (OH) males (mean age...

Background: One percent of the adult population are, at any one time, prescribed oral glucocorticoids (GC). GCs are known to be associated with hypothalamic–pituitary–adrenal axis suppression. However, there remains uncertainty regarding: i) the prevalence of GC-induced adrenal insufficiency (AI); ii) the effects of GC dose and duration; and iii) the time course of adrenal recovery and how GCs should be withdrawn. We undertook a systematic literature review to addres...

Introduction: Adrenal haemorrhage is rare. There is a broad spectrum of clinical presentation and aetiology of the condition making it challenging to diagnose. Endocrine dysfunction frequently complicates cases of adrenal haemorrhage. Failure to recognise the condition or its complications can lead to devastating consequences for the patient.Methods: All patients referred to our centre with adrenal haemorrhage between 2004 and 2014 were included in this ...

Introduction: Anorexia, one of the major problems at high altitude caused by alterations in adipose, gut and pancreatic hormones responsible for appetite regulation and energy balance may be alleviated by understanding the changes during hypoxia. The present study was aimed to elucidate the response of peripheral tissues to hypobaric hypoxic exposure in terms of circulating levels and expression pattern of appetite regulatory hormones, adipose cell morphology and glucose regul...

Introduction: Therapeutic durability of GLP1-based therapies in patients with type 2 diabetes mellitus (T2D) is incompletely understood. Our aim was to explore the therapeutic effects of GLP1 based therapies in patients with T2D.Methods: This was a retrospective study on patients with T2D (n=55) who attend a specialist clinic at UHCW, Coventry, and who had been treated with the GLP1 based therapy, Liraglutide, for at least 6 months. A successful...

Liquorice is a sweetener found in many food products, soft drinks, snacks and herbal medicines. Liquorice ingestion is an uncommon cause of AME or pseudohyperaldosteronisim. The mechanism involves the inhibition of 11-beta-hydroxysteroid dehydrogenase type-2 by the active ingredient called glycyrrhizin, which leads to the uninhibited activation of mineralocorticoid receptors by cortisol. Confectionary products that contain liquorice are readily available in the European Union....

Introduction: The possible clinical impact of subclinical thyroid dysfunction on patients with cardiovascular events is important if one considers the high incidence of a mildly altered thyroid hormone pattern in this population. This study aims to determine the prevalence of subclinical thyroid dysfunction among patients presenting with cardiovascular events in Philippine General Hospital, and its impact on mortality.Methodology: A cross sectional, pros...

The activity of hypothalamus–pituitary–thyroid (HPT) axis is essential for energy homeostasis. TRH expression in the PVN is rapidy stimulated by energy demanding situations as cold exposure or locomotion, but blunted by stress-induced increased corticosterone serum levels. In primary cultures of rat hypothalamic cells (RHC), PKA activators as forskolin (Fsk) increase TRH mRNA levels, effect reverted by coincubation with dexamethasone. Fsk-dex coincubation also impede...